How to bring down A1C?

By KEC1257 Latest Reply 2014-12-12 06:07:45 -0600
Started 2012-08-13 11:53:44 -0500

Just had my 1st follow up woth my Dr. since my T2 diagnosis in May. Weight down by 20 lb., A1C 6.1 (down from 6.4). He wants me to get my A1C below 6. I don't know in general what is an acceptable quantity of carbs to eat on a daily basis or how this can affect my A1C in the long run. I am scheduled for diabetic education in September but am ready to make changes now. Can anyone give me some advice?

24 replies

rhett t
rhett t 2014-12-12 06:07:45 -0600 Report

that's what I'm trying to do also. Please let me know when you find out. and I'll let you know

Spirit63 2014-12-11 09:30:28 -0600 Report

Does any one no where to buy a A1c kit please let me know

jayabee52 2014-12-11 17:40:44 -0600 Report

Howdy Spirit
You could look in most any pharmacy and should find one. Ask your pharmacist if you can't find.

God's best to you

Spirit63 2014-12-11 09:21:39 -0600 Report

They said 5.6 is where diabetic is supposed be at all times

jayabee52 2014-12-11 17:48:20 -0600 Report

Howdy again Spirit!@
You said "they" said. Who are they?

The ADA suggests that "Under the new recommendations, which are revised every year to reflect the most current available scientific research, an A1c of 5.7 — 6.4 percent would indicate that blood glucose levels were in the pre-diabetic range, meaning higher than normal but not yet high enough for a diagnosis of diabetes. That diagnosis would occur once levels rose to an A1c of 6.5 percent or higher." source ~

Armourer 2012-08-21 01:44:24 -0500 Report

Low carb is very important, try keeping your carbs at 35 per meal, or less. I try for about 15 for the whole day. Eat protein! Watch portion amount and exercise. Really very simple. LOL, now only if I'd follow my own advice.

Spirit63 2014-12-11 09:22:44 -0600 Report

Is that 35 per day or each meal how many carbs per day

jayabee52 2014-12-11 17:52:16 -0600 Report

taking for granted a typical 3 meals per day that would be 95 per day. Armorer said he tries for 15 (did he mean 150?) per day as only 15 would exceed even the one meal limit.

IronOre 2012-08-16 00:31:09 -0500 Report

Ask your doctor why below 6? I think that's overkill.
As a type 1 for 37 years I have always been around 7, and have no complications.
The diabetic education will help things, and will probably make your life easier.

Proud Army Mom
Proud Army Mom 2012-08-14 10:23:54 -0500 Report

Hi KEC - I am new here :), but I wanted to post because I have been able to get my A1C down from the 8 range to the 5.3 to 6 range in a matter of months. I am still on meds but the Metformin has decreased. I don't know if you work out at all, but joined a gym about 2 months ago (Planet Fitness, only $10 a month!) and now work out every day (or a minimum of 6 days a week) doing 35 minutes of moderate to high cardio (my fav is the eliptical (sp?) and about 25 minutes of weight training. This has helped me hugely. I have also given up sugar, bread, cereal, starches (including peas, corn, etc), and pasta. I do sometimes have one or two whole grain rice cakes with roast beef or peanut butter, but other than that, I am really strict about my carb intake. It seems to be the only way I can get really good results in terms of my BS.

When I did this huge carb cut back, I experienced unpleasant withdrawal symptoms for a week or two - headaches, sinus discomfort, irritability, fatigue - unpleasant enough that I don't want to have to repeat it, and between that and my good BS results, it is motivation enough to keep me off the carbs ;) And honestly, I feel great - I have never had more energy and my mood has improved tremendously - maybe the endorphins from working out. My BP has also undergone improvement - from 120/70-75 to 90/68 (on meds - doc may lower my dosage).

So I know this strict carb thing is tough, but in my mind, so worth it! Good luck - you can do it! :) <3

mystikfairy61 2012-08-14 23:52:45 -0500 Report

How many carbs do you allow yourself for each meal and snack? I read that going too low on carbs isn't good either and I was just wondering how many you eat? I was diagnosed in April and have been making small changes as I go. Thanks.

Caroltoo 2012-08-15 00:47:50 -0500 Report

I doubt that I eat more than 40 on a high DAY. I have plenty of energy: work a full time job, also work a small but rewarding part time job, am sole caretaker for my husband with Alzheimers, and walk/jog for regular exercise. I just make sure I have plenty of protein and vitamins, especially the B complex ones, and an amply supply of low carb fruit and veggies. When I use any of the seeds/grains, I make sure I do not eat wheat, rye, barley, or oats because those are the carbs that cause my BGs to spike and my digestion to become quite problematic.

I've heard the concerns about low-carb diets also, but I think this low carb eating plan is well balanced. I've used it for over 10 years with no problems and my doctor is always very complimentary about what I've done to turn my physical health around.

pixsidust 2012-08-14 09:03:53 -0500 Report

I think you are doing fabulous 6.1 and he is still not happy. Dr Oz had a show recently where they showed a family of three that lost 500 pounds.
They used cauliflower to make Mac and cheese and grated it to make rice.
Spaghetti squash was also used for shrimp scampi. Soy flour for breading chicken and almond flour for pancakes. I say this because to get it into the 5's which I never have reached watching carbs and being creative is the way to go

jayabee52 2012-08-13 12:34:39 -0500 Report

Howdy KEC,

Bringing your A1c down will take time, as it is the AVERAGE of your blood glucose (BG) levels 24/7 for the past 90 days.

As far as taking steps to actually bring A1c down I had achieved an A1c of 5.5 after about 3 months on the following eating plan ith which I experemented trying to manage my BG levels without the use of diabetes medications. You can read the discussion where I tell of it here ~

The cornerstone of my plan is to avoid anything made from grain, particularly breads.

I pray you find that for which you are looking and are able to lower your A1c.


KEC1257 2012-08-13 18:54:14 -0500 Report

Wow, no grains. That sounds really hard. You must have amazing self discipline!
Thanks for the info; I will check it out.

jayabee52 2012-08-14 02:21:02 -0500 Report

Eating out in resturants is quite an experience for me, but it is now so ingrained (no pun intended) that when I order something I ask for no bread with it. (due to my kidney issues I also need to avoid cheese — seems like everything has cheese on it — so it is really an experience!)

Now I will have the occasional ice cream cone but that is just for an occasional treat and I don't make it a mainstay of my meal.

Plus a lot of people who have celiac disease or gluten intolerance do it all the time. It just is a different way of thinking about food.

KEC1257 2012-08-15 05:52:36 -0500 Report

Changing my way of thinking about foodhas been a struggle. I have always been a 'grazer' and now planning meals and trying to keep them balanced is challenging! Also am learning to like foods I never cared for before, like fish, especially salmon.
Thanks again for your advice!